Active NPI
Katharine Bloomquist, LMFT, CST
- Marriage & Family Therapist
- Saint Paul, MN
National Provider Identifier
1104597673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 3572
- Practice address
- 2136 Ford Pkwy # 8131
Saint Paul, MN 55116-1863 - Phone
- (612) 568-2864
- NPI assigned
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 42747 | MT | |
| Marriage & Family Therapist | 106H00000X | 100819 | IA | |
| Marriage & Family Therapist | 106H00000X | 3572 | MN | Primary |
Addresses
Primary practice location
2136 Ford Pkwy # 8131
Saint Paul, MN 55116-1863
Mailing address
2136 Ford Pkwy # 8131
Saint Paul, MN 55116-1863
Phone (612) 568-2864
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@mnsexualhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100819 | IA | MD | Marriage & Family Therapist |
| 42747 | MT | MD | Marriage & Family Therapist |
| 3572 | MN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632441600000",
"number": "1104597673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 FORD PKWY # 8131",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161863",
"telephone_number": "612-568-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 FORD PKWY # 8131",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551161863",
"telephone_number": "612-568-2864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOMQUIST",
"first_name": "KATHARINE",
"credential": "LMFT, CST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2021-09-24",
"certification_date": "2021-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MT",
"license": "42747",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IA",
"license": "100819",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "MN",
"license": "3572",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@mnsexualhealth.org",
"affiliation": "N",
"endpointDescription": "email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email address",
"address_1": "2136 Ford Pkwy # 8131",
"city": "Saint Paul",
"state": "MN",
"country_code": "US",
"postal_code": "551161863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.